~, ~ : t . ~-; ,.. r .....: ~ ~ ! y .-. ,~ •.. . ~ ~ . t., r!t t. ! 1 '_ .:L ., -- :_, m :_. , i-i L c-~ _ c:: C' O t'! ~, 1 t j E' r- i"r ~ C~ `.' :.. _. __. l: +_i r" .. t. }-; C. V :-: r ' ]..~i ! l '-. - !.:~ ~. 'if :.-. .=.t i-t i~ .~c i:] C.:1 - , - : , e) ': *' ~:_ r, !_~ n is ~ :? r', ;a t I i ~. . -:: ~ - i c. ! ~ =. C o m r:; ~.: _ i o 1, ,` .!.~ ; I-~ t.. e == i ; ~ r •F ::., w i-i i r i~ ; :_ ._ a. i ~?! '- 13, 786. ~~, ~o~?ri rtnd E~r^idge for^ ~k,~_3,~~7.:::;8, Co!_rnty 1__wi I_ibr.-pry for `~7.-34.4i, ~~!_~venzle State ~iir1 F'!_ir;d F'or `~~~Z1C.5~, Tr^affic ~~afety F!_m~i for- 9~~~F.S~, J~_tvenile Inten~~ive Rrogram State -lid 1=!_~nd •Fo'r, ~11E~.~~Z1, tc'hreiner Rn~~d "!"r-'!_i=_-t for^ ~i., iH~. t%~~, State =,_inded - `1E~th )riiatr^ict 1`~raba.tion fnr ~ck"~V~.t-,~}, and `:hate F~_~ndr~d'- C~amm~_~nity Cor^rect ions for^ ~b~~8. 94. On motion made by Commissioner Flolek_-imp„ seconded by Commissioner^ Oehler^, the Co~_~r^t unani~ously approved by a vote of 4-0-0, to pay said claims and acco~_~nts and approve to pay Indigent Health tsar^e Rills to var-'io~_ts pr^ovider^s for X19, 144. 1~. r" r DATE: 10/25/91 ~ T.P.A. CAILY CHECK REGISTER FP,IUAY OCTOAEP. 25. 1991 REGISTER NUM6ER 161 DOGE: 21 CHECK CHECK f ~ CHECK NUMBER DATE _ CLAIM:NO GROUP HO SOC SEC ND ENPLOYE~ CLAIMANT PAY 10 AMOUNT ~I •uo^rrr^sraau.••vruar.o.^ro^or.rreo.rueuuora urs uru u.o•^.ur^a. ur.r.•rru u ru.u.a.r w.o arc..^uu o tart u•uar^ CHECK GROUP 024 KERA COUNTY ~ _ .. " 1515 10/25/91 TPX-0021,. ... ~ MANUAL OTHER VOID .00 " " 1516 10/25/91 TPX-0024 ~ ~ ~~5 ;.+tA --. VOUCHER PAYMENI HILL COUNTRY RADIOLOGY 270.34 1517 1V /25/91 TPX-0024 VOUCH R PAYH N 5P K M , 1518 lU/25!91 TPX-0024 '~ VOUCHER PAYMENT PRIOUR MD. H L 1.800.23 151° 16/25/91 TPX-0024 VOUCHER PAYMENT FAMILY PP,ACTICE ASSOCIATE 265.57 .. .. 1570 10/25!91 TPX•0024 ~ VOUCH R PA M k ID Pik ON M HD3i' L~21 10/25/91 TPX-0024 ~ '~?; VOUCHER PAYHENT ALLEN M0. WILLIAM M 896.61 1522 10/25/91 TPX-ODZ4 '•` ;~; VCUCHER PAYMENT MILL CO NUCLEAR IMAGING lOD.36 ~, 1523 1D/25/91 TPX-0024 VOUCH R PAYH N 60Y M • k [Z.~4--"f sp 51;8TCTALS 9 CHECKS - 19,144.!2 ,. ;~' -' -y .. .... .. .. .. ... ., 1 _ ~, '. 3 i t. 1 Id ' , t' :~ ~. . r ,. {` ~- ~'1 J! ~' c~ ~. J _.. 1 ,] l T J r`, h _ ~`~ T. P. A., INC. DATF 10/25/91 PROVIDER VOUCHER LISTING PAGE i 1PV0031 FOR PROUItaER: 74-17337b1 HILL CQUNTRV RADIOLQ6V " FOR GROUP: TPX-0424 KERR COUHTV SEQUENCE K0: 120 PATIENT CLAIM INCURRED COVFRf1 TOTAL CIAIIIAMT DEP. NO. MO. FROlI TO CHARGE PAID sn=zoc.ezececx=esa=zssaszsasssss:azasszasaasaaazasmazzmzsseasszzz mazzszzzssz~sazs:ssa N FARAER E 131355 9000527102 07/05/91 09/24/91 345.65 191.34 B FRAI11{LIM E 342b9 9000488504 09/18/91 10101/9t 73.00 73.00 GROUP 10TAL: 118.65 270.39 PROVIDER TOTAL: 418.65 210.31 T. P. A., INC. DAZE 10/25/91 PROVIDER VOUCHER LISTING PACE i (PU4031 FOR PROVIDER: 74-2174129 SPECK MD, FRED i0R GROUP: TPX-0024 KERB COUNTY SEQUENCE N0: 121 PATIENT CLAIM INI~IRRED COVEREI TOTAL CLAIMANT DEP. N0. 1lO. fRON TO CHARGE PAID =x==c=sao=e.xxsssx.e.xsesxssasassssoassxsasssass:ssaxsssss-sasssssss:sssxes~sstsassa P DRISCOLL E 9400489203 89/21/91 10/03/91 215.00 162.45 GROUP TOTAL: 215.00 162.4 PROVIDER TOTAL: 275.00 ib2.4S (. P. A., INC. DATE 14/Z3/9i PROOIDFR UOUCNER LISTING PACE 1 •(PV0031 FOR PR4UIDER: 74-2243887 PRIOUR ND, N E fOR CRQUP: TP8-0424 NERR COUNTY SFQUENCE NO: 122 PATIENT CLAIIt INCURRED CLAIMANT DEP. N0. N0. FROM TO c=aas=sas=cc=sss=ssszszxsszasssasssazssazRSazassszssxssszsesszz C BROIiN E 9440492507 49/25191 14/48/91 N FARfIER E 4004327101 ~/ibJ9i 08/23/91 CROiIi' TOTAL: COVERED CNARCE eszaazzssasa 44.04 2124.00 2169.04 TOTAL PAID :xs. _aasss 32.41 i7b7.82 1a4a. z3 PROVIDER TOTAL: 2164.04 1840.23 T. P. A., INC. , DAZE 10/25/91 PROVIDER VOUCHER ~ISTINC PACE 1 (PV0031 FOR PROVIDER: 74-1417555 FANILV PRACTICE ASSOCIATE fOR GROUP: TPX-0024 KERB CDUNTY SEQUENCE N0: 123 PATIENT CLAIM INCURRED COVEREI TOTAL CLAIdANT DEP. M0. 1(0. FROM TO CHARGE PAID =xxrccxcrecce:cxccc.ccaczccxxarse zareearessc=srsarxcrxrreeaaasszaaxcreersaxazacxraarr C BROAN E 80814 9000492507 09/15/41 10/08/91 139.00 59.69 N FARMER E 28354 9000527102 07/05/91 09!24/91 324.00 205.88 CROUP iOTAI: 468.40 Z65.S7 PROVIDER TOTAL: 469.OD 265.57 T. P. A., INC. DATE 10/25!91 PROVIDER UOUCRER IISTIN6 PAGE l cPUOO31 FOR PROVIDER: 14-2551820 SIO PETERSON MEM N~PITAL FOR GROUP: TP8-0024 KERR COUNTY SEWENCE !~: 124 PATIENT CLAIM INCURRED COVEREI TOTAL CLAINAlIT DEP. NO. N0. FROM TO CNARCE PAID sa==sax=saaaa.ss oseosaxeaeaasasss xsaasassaassaaesstsssaassxssssssssasassasas sssesesss C CARTER E 231341 9000446303 08/19/91 08/28/91 391b.95 2834.86 N FARMER E 517077 4000527107 07!05!91 09/24/41 19.25 29.25 11 EARNER F 234639 9000521103 08/16/91 08/27/91 8010.b6 1874.3b R 60NZALFS E 5499b4 4040494902 07/02/91 08!30!91 23bb.54 Z3b3.b5 3 KANEL F 23958b 9000495944 48/D5/91 08/13/41 5513.55 31b2.40 C YOUNG E 234589 9000524302 08/Ob/91 48!19/91 89Z9.1D 3354.08 CROUP TOTAL: T87bb.OD 15623.b2 PROVIDER TOTAL: 18766.00 15623.62 T. P. A., INC. DATE 10/25/91 PROVIDER VOUCHER LISTING PACE 1 1PV003) FOR PROVIDER: 14-2046814 ALLEN lt0, HILLIAM M FOR CROI~: TPft-0024 KERR COUNTY SEQUENCE NO: 125 PATIENT ClAIN INCURRED COVEREI TOTAL ClAIIIANT DEP. NO. 110. FR011 TO CHARGE PAID ==---===-==-=aces-scaccaxcss=secossassa:saeessoxsssz:s==~s=raxseaeaasxssmsesseacasc:c R COMZRLES E 9000494902 07/02/91 08!30/91 1062.18 896.61 GROUP TOTAL: 1062.16 896.61 PROVIDER TOTAL: 1062.18 896.61 T. P. A., INC. DATE 10/T5/91 PROVIDER VOUCHER LISTING PACE 1 (PYQ031 FOR PROVIDER: 14-2419355 HIII CO MUCIEAR IMAGING FOR CROUP: 1PR-0024 NERR COUNT~f SEQUENCE N0: 126 PATIENT CLAIM INCURRED COVERED TOTAL CLAIMANT DEP. NO. N0. FROM TO CHARGE PAID -==szsszsssssxasscx:azsaxaasssssssos:s=saaasassaasssssaassaaassesa::sssse:::ssssazaaa B FRANKLIN E 84269 9400488504 09/18/91 10/O1/91 135.OD 100.36 , CROUP TOTAL: 135.00 100.3b PROVIDER TOTAL: 13S.0D 100.36 T. P. A., IM!C. DATE 10/25191 PROVIDER VOUCHER LISTING PACE i [PVDD31 FOR PROVIDER: 74-1648115 ROYCE MD, T R FOR CROID': TP%-0029 IU:RR COUIfTY SIQUENCE 110: 127 ~ PATIENT CLRIM INCURRED COVEREI TOTAL CLAIMANT DEP. NO. H0. FROM TO CHARGE PAID c.esso.naz:saserasxs~zrs~sessseszrzraassaeseezzssxassasssssos:esessssoessazsssesssa:s B FRANKLIN E 890136 9400488544 09/1$/41 10!41!91 25.00 14.94 CROUP TOTAL: 35.40 21.44 PROVIDER TOTAL: 35.00 24.44